CENTRAL MICHIGAN UNIVERSITY (NPI# 1508307273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508307273 |
| Entity Type | Organization |
| Organization Name | CENTRAL MICHIGAN UNIVERSITY |
| Practice Address |
203 E Broomfield Rose 145 Mt Pleasant MI 48859-0001 |
| Mailing Address |
1617 Fessenden Ave Mt Pleasant MI 48858-2137 |
| Practice Telephone | 9897746687 |
| Practice Fax Number | 9897741095 |
| Mailing Telephone | 9897746687 |
| Mailing Fax Number | 9897741095 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | ROBIN L JONES (ASSOCIATE ATHLETIC TRAINER) |
| Authorized Official Telephone | 9897746687 |
| Authorized Official Credential | AT, ATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 2601000874 | MI | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255888558 | Central Michigan University | Behavioral Analyst | 600 E Preston, Mount Pleasant, MI 48859 | 2016-09-02 |
| 1447606801 | Central Michigan University | Family Medicine | Cmu Sports Medicine, Rose 100, Mt Pleasant, MI 48859-0001 | 2016-05-04 |
| 1790058386 | Central Michigan University | Surgery | 2981 Health Pkwy, Suite B, Mount Pleasant, MI 48858-9347 | 2012-02-14 |
| 1487686754 | Central Michigan University | Family Medicine | 202 Foust Hall, Central Michigan University Health Services, Mt Pleasant, MI 48859-0001 | 2006-07-07 |
| 1073987616 | Central Michigan University | Psychologist | 1101 Health Professions Bldg, Ste 2105, Mt Pleasant, MI 48859-0001 | 2015-11-19 |
| 1083088611 | Central Michigan University | Speech-Language Pathologist | 1101 Health Professions Building, Ste 2186, Mt Pleasant, MI 48859-0001 | 2015-11-19 |
| 1497138788 | Central Michigan University | General Acute Care Hospital | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2015-07-03 |
| 1285043760 | Central Michigan University | Psychologist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | 2014-08-08 |
| 1669896197 | Central Michigan University | Physical Therapist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | 2014-02-04 |
| 1659711760 | Central Michigan University | Pediatrics | 1201 South Dr, Ste. 341, Mt Pleasant, MI 48858-3256 | 2013-07-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTRAL MICHIGAN UNIVERSITY | 300 E Preston, Mount Pleasant, MI 48858-4261 |
| System for Award Management (SAM) Entities | CENTRAL MICHIGAN UNIVERSITY RESEARCH CORP | 2625 Denison Dr, Mount Pleasant, MI 48858-5596 |
| Street Address |
203 E BROOMFIELD ROSE 145 |
| City | MT PLEASANT |
| State | MI |
| Zip Code | 48859-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598255481 | Kimberly Kay Wyse | Psychologist | 2520 S University Park Drive, Building D Caat Center, Mount Pleasant, MI 48859 | 2018-05-16 |
| 1255888558 | Central Michigan University | Behavioral Analyst | 600 E Preston, Mount Pleasant, MI 48859 | 2016-09-02 |
| 1992852461 | Christina Eyers | Specialist/Technologist | 1172 Hpb, Mt. Pleasant, MI 48859 | 2007-01-05 |
| 1922630763 | Michael Swabash | Student in an Organized Health Care Education/Training Program | 1280 E Campus Dr, Mount Pleasant, MI 48859 | 2020-02-10 |
| 1710332440 | Jennifer Barnstable | Speech-Language Pathologist | 301 Williamston Center Rd, Suite 800, Williamston, MI 48859 | 2016-05-02 |
| 1447423942 | Roschelle A Heuberger | Dietitian, Registered | 1101 Health Professions Bldg, Mt Pleasant, MI 48859 | 2008-04-07 |
| 1659559375 | Linda Jean Patterson | Speech-Language Pathologist | 1101 Health Professions Bldg, Mt Pleasant, MI 48859 | 2008-02-05 |
| 1083798540 | Michael Anthony Nerbonne | Audiologist | 1101 Health Professions Building, Mount Pleasant, MI 48859 | 2006-10-24 |
| 1942818919 | Dominique Hope Dimatteo | Specialist/Technologist | 145c Rose Center, Mount Pleasant, MI 48859-0001 | 2020-07-16 |
| 1750913596 | Elizabeth Kay Edson | Student in an Organized Health Care Education/Training Program | 1280 East Camus Dr, Mt Pleasant, MI 48859-0001 | 2020-02-10 |
| Find all providers in zip 48859 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902266356 | Central Michigan Care | Point of Service | 798 S Whiteville Rd, Mt Pleasant, MI 48858-8776 | 2016-02-28 |
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|---|---|---|---|---|
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| 1083159545 | Marley Gannon Pagel Lmsw, Acsw, LLC | Point of Service | 474 Iris Ln, Saline, MI 48176-9092 | 2016-12-19 |
| 1295277663 | Oceansblue 24 Hr Home Care 4 | Point of Service | 15336 Washburn St, Detroit, MI 48238-1662 | 2016-11-16 |
| 1720434384 | Kelly Mcclain | Point of Service | 2125 Denwood Ave Sw, Wyoming, MI 49509-1962 | 2016-05-12 |
| 1073982070 | Bellis | Point of Service | 33037 Grand River Ave, Farmington, MI 48336-3119 | 2015-09-20 |
| 1740666098 | Nariman Shamoon | Point of Service | 14585 Sparrow Dr, Shelby Township, MI 48315-5042 | 2015-08-09 |
| 1417339532 | Ana Rodriguez | Point of Service | 612 Peacock Ave, Pontiac, MI 48340 | 2015-06-25 |
| 1003298191 | Department of Health and Human Services | Point of Service | 5330 W Michigan Ave, Apt 102, Lansing, MI 48917-3364 | 2015-06-24 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 48859 |
Please comment or provide details below to improve the information on CENTRAL MICHIGAN UNIVERSITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.